Title Page
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Document No.
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WHS08-F4-02 Confined Space Register
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Confined Space
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Description of space.
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Take a photo of the space location.
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Take a photo of the space entrance.
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Take a photo of the space exit.
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(A) Is the space enclosed or partially enclosed?
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(B) Is it likely to be entered and is it at normal atmospheric pressure?
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(C) Does the space have a limited or restricted entry or exit?
(D) Does the space contain, is it intended to contain, or is it likely to contain:
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Harmful level of atmospheric contaminants?
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An unsafe oxygen level?
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Substance that could cause engulfment?
If the answer to A, B, C and at least one of D is yes, then the space is a confined space.
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Is this a confined space?